3.

CLINICAL FORMS OF
TUBERCULOSIS

3.1. CLINICAL CLASSIFICATION

OF TUBERCULOSIS
 Tuberculosis Course for
English-speaking students

3. CLINICAL FORMS OF TUBERCULOSIS

• 3.1. CLINICAL CLASSIFICATION OF TUBERCULOSIS

 Russian Federation’s clinical classification of
tuberculosis is based on the following principles:

• 1. Clinical and radiological features of

tuberculosis disease process (including
localization and extent).
• 2. Phases of the tubercular process.
• 3. Presence of bacterial emission.
 The classification consists of four main
sections.

• 1. Clinical forms of tuberculosis.

• 2. The characteristics of tubercular
process.
• 3. The complications of tuberculosis.
• 4. Residual changes after recovery of
tuberculosis.
http://www.itg.be/itg/DistanceLearning/LectureNotesVandenEndenE/imagehtml/ppages/CD_1092_035c.htm
 Clinical classification of lung TB
• Tuberculous intoxication in
children and adolescents.
• Primary tuberculosis complex.
• Tuberculosis of the intra-
thoracic lymph nodes.
• Disseminated P. tuberculosis.
• Miliary P. tuberculosis.
• Focal P. tuberculosis.
• Infiltrative P. tuberculosis.
• Caseous pneumonia.
• P-pulmonary
• P tuberculoma.
• Cavernous P. tuberculosis.
• Fibrotic-cavernous P.
tuberculosis.
• Cirrhotic P. tuberculosis.
• Tuberculous pleurisy (including
empyema).
• Bronchus, trachea, upper
respiratory tract tuberculosis.
• Tuberculosis of the respiratory
organs combined with
professional lung diseases
(Coniotuberculosis).
Non-pulmonary tuberculosis (Tuberculosis of other
organs and systems):

• Meningeal and central nervous system tuberculosis.

• Tuberculous colitis, peritoneal and mesenteric
lymph nodes tuberculosis.
• Tuberculosis of bones and joints.
• Genitourinary tuberculosis.
• Cutaneous and subcutaneous tuberculosis.
• Peripheral lymph nodes tuberculosis.
• Tuberculosis of the eye.
• Tuberculosis of other organs
Tubercular process description

Tubercular process description

specifies:
- localization;
- clinical-radiological findings;
- presence of MBT in diagnostic material.
 Localization and extent of tubercular lesions
are specified:

• – by lobes and segments for lungs;

• – by localization of lesions in other organs.
Tubercular process description
Phase:
a) infiltration, disintegration, dissemination;
b) resolution, induration, scarring, calcification.

MBT discharge:
a) with mycobacterium tuberculosis discharge
(MBT+);
b) without mycobacterium tuberculosis discharge
(MBT-).
Complications of tuberculosis:
Complications of tuberculosis:
– hemoptysis and bronchial hemorrhage, spontaneous
pneumothorax, cardiopulmonary insufficiency,
atelectasis, amyloidosis, fistula and others.
Residual changes after recovery.
а) for respiratory apparatus:
– fibrous, fibrotic-focal and bullous-dystrophic changes,
calcification in lungs and lymphatic nodes, pluerogenic
pnuemosclerosis, cirrhosis, condition after surgery and
others.
b) for other organs:
– scarring changes in different organs and their
consequences, calcification, condition after surgery.